Nursing Elites

1. Following successful heart transplant surgery, the patient's body will need to take medications to:

• A. Suppress the immune system and prevent rejection of the new heart.
• B. Reduce overall blood pressure.
• C. Dissolve any remaining blood clots.
• D. Stimulate the growth of new heart tissue.

Correct answer: A

Rationale: After heart transplant surgery, the patient's body will need to take medications to suppress the immune system and prevent rejection of the new heart. This is essential to ensure that the body does not identify the transplanted heart as a foreign entity and mount an immune response against it, which could lead to transplant rejection and failure. Choices B, C, and D are incorrect because post-heart transplant medications primarily focus on preventing rejection by suppressing the immune system, rather than reducing blood pressure, dissolving blood clots, or stimulating the growth of new heart tissue.

2. What is the purpose of the periosteum, the tough outer layer of bone?

• A. Produces red blood cells
• B. Provides protection and nourishment to bone
• C. Forms the joint surface
• D. Stores minerals

Correct answer: B

Rationale: The periosteum, the tough outer layer of bone, serves the purpose of providing protection to the bone and nourishing it through the blood vessels it contains. It acts as a protective layer for the bone structures. Choices A, C, and D are incorrect because the periosteum does not produce red blood cells (which is the function of bone marrow), form joint surfaces (which is typically the role of articular cartilage), or store minerals (which is primarily done by bone tissue itself and not the periosteum).

3. What type of joint is found in the shoulder and hip, allowing for a wide range of motion?

• A. Hinge joint
• B. Ball-and-socket joint
• C. Pivot joint
• D. Saddle joint

Correct answer: B

Rationale: The correct answer is B: Ball-and-socket joint. A ball-and-socket joint, like those in the shoulder and hip, allows for a wide range of motion. In a ball-and-socket joint, the rounded end of one bone fits into the cup-like socket of another bone, enabling movement in multiple directions. Choice A, Hinge joint, is incorrect because hinge joints allow movement only in one plane, like a door hinge. Choice C, Pivot joint, is incorrect as it allows rotational movement around a single axis, not the wide range of motion seen in the shoulder and hip. Choice D, Saddle joint, is also incorrect as it allows movement in multiple directions but to a lesser extent compared to the ball-and-socket joint.

4. Which term refers to a position farther from the midline of the body? For example, the little toe is lateral to the big toe on the same foot.

• A. Lateral
• B. Medial
• C. Proximal
• D. Distal

Correct answer: A

Rationale: The correct answer is A: Lateral. Lateral refers to a position farther away from the midline of the body. In the example provided, the little toe is indeed lateral to the big toe on the same foot. This is in contrast to 'medial,' which means closer to the midline. 'Proximal' refers to a position closer to the point of attachment or the trunk of the body, while 'distal' refers to a position farther from the point of attachment or the trunk of the body.

5. Which of the following is an example of a commensal relationship between a microorganism and a human?

• A. Salmonella causing food poisoning
• B. taphylococcus aureus causing skin infections
• C. coli living in the gut
• D. Rabies virus causing neurological disease

Correct answer: C

Rationale: A commensal relationship is a type of symbiotic relationship in which one organism benefits, while the other is neither harmed nor benefited. In this case, E. coli living in the gut is an example of a commensal relationship because it can benefit from the environment in the gut without causing harm to the human host. Option A, Salmonella causing food poisoning, is an example of a pathogenic relationship where the microorganism causes harm to the host. Option B, Staphylococcus aureus causing skin infections, is also an example of a pathogenic relationship where the microorganism causes harm to the host. Option D, Rabies virus causing neurological disease, is another example of a pathogenic relationship where the microorganism causes harm to the host.

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